go back

Virginia rates for HCPCS J7605

Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $1.66 / $32.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.74 / $0.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $2.27 / $3.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.71 / $20.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.74 / $3.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.74 / $6.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.91 / $2.85
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.91 / $2.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.71 / $0.75